Appointment Request Form

To request your next appointment, please complete the form below and let us know the most convenient time and date for you. Please don't forget to include accurate contact details so we can follow up with you to finalize your request.

Please arrive 10 minutes prior to your scheduled appointment and bring with you any glasses or contact lenses you have been wearing, a list of your medications, and your up-to-date medical and vision insurance information. You may receive eye drops during your examination that will make your eyes sensitive to light, a pair of sunglasses is recommended.

Please fill in the form below to setup an appointment.

Reason for Appointment

Please provide a reason for your appointment. Details are stored securely and not sent by email.

Preferred Date & Times*

Please let us know when you would prefer to have your appointment. Our hours are listed on our location page.